The symptoms and treatment of chronic opisthorchiasis

Opisthorchiasis can occur in acute or chronic form, and chronic form is often accompanied by hidden symptoms.

The symptoms of chronic opisthorchiasis

Clinical manifestations of chronic opisthorchiasis are accompanied by the symptoms of cholecystitis, duodenitis and pancreatitis. Holetsistograficheskie variant observed in 72% of cases, it is expressed in the form of chronic cholecystitis that occur with relapses, or cholangiohepatitis, which sometimes can join the symptoms of hepatitis. Patients in this case suffers from pain in the right hypochondrium, which may be permanent or paroxysmal, radiating to the right half of the chest, pain syndrome usually occurs after errors in the diet. In 80-90% of patients occurs dyspeptic syndrome, the survey found signs of damage to the biliary system, marked tenderness on palpation in the region of the gallbladder, as well as positive test results, Kera, Murphy, Ortner. In more than 80 % of cases develop hypomotor dyskinesia of the gall bladder. Dyskinetic changes of an inflammatory nature on the part of the biliary system are confirmed during the complete examination of the digestive tract and liver.

In 90% of cases in the pathological process is involved the stomach, accompanied by symptoms of gastroduodenitis and disruption of the normal functioning of the intestine. Two thirds of patients in the infectious process involves the pancreas, which is accompanied by the development of pathological reflux biliary-pancreatic and pancreatobiliary character. Among the symptoms of chronic opisthorchiasis of a systemic nature are characteristic of clinical disease are considered to be asthenic-vegetative and allergic syndromes. Parasites can cause disorders of the Central nervous system and the autonomic nervous system that is accompanied by complaints of patients on fatigue, increased irritability, sleep disturbance, headache and dizziness. In addition, marked sweating, salivation, tremor of eyelids, tongue, hands. Sometimes neurological symptoms becomes very pronounced and the patients wrongly diagnosed vegetative neurosis, or neurocirculatory violations. Allergic reactions in chronic opisthorchiasis can manifest in the form of itching and skin rashes, angioedema, food allergies. Among the severe complications of the disease occur: purulent destructive cholangitis and cholecystitis, peritonitis,abscess of the liver, cirrhosis, primary liver cancer, acute destructive pancreatitis, in rare cases, cancer of the pancreas.

Treatment of chronic opisthorchiasis

In the treatment of chronic opisthorchiasis an integrated approach. Therapy of this disease is carried out in stages. At the first stage in the framework of pathogenetic therapy can be I was prescribed Ursofalk, on the second – biltricid as specific treatment. The final stage is rehabilitation, whose aim is the restoration of disturbed functions of the digestive tract and liver. welcome antiparasitic medications required enhancement of bile excretion and increase its fluidity. The most promising drug so as to correct numerous violations of the internal organs caused by the disease, is considered to be the ursodeoxycholic acid (Ursofalk).